Healthcare Provider Details

I. General information

NPI: 1841850435
Provider Name (Legal Business Name): EVERLY ISABEL COLE BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2019
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5212 W VILLAGE PKWY STE 1
ROGERS AR
72758-8190
US

IV. Provider business mailing address

5212 W VILLAGE PKWY STE 1
ROGERS AR
72758-8190
US

V. Phone/Fax

Practice location:
  • Phone: 918-289-3350
  • Fax:
Mailing address:
  • Phone: 918-289-3350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-19-36347
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: